CPT 26434: Finger tendon repairMedicare rate & RVUs in Oregon
Reports operative repair or grafting of a finger tendon when the documented procedure and anatomy meet this code’s descriptor.
CMS doesn’t publish an office rate for 26434 in Oregon.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 26434 covers
This service covers operative repair or reconstruction of a tendon in a finger. A hand or orthopedic surgeon may perform it after a tendon injury or when damaged or deficient tendon tissue prevents useful finger motion. The operative report should identify the finger and tendon treated and describe the repair or graft work performed; those details establish whether this code, rather than a neighboring hand or finger tendon code, fits the procedure.
For Medicare, the service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted. Document the operative findings and technique, including graft use when applicable.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 26434 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $734.96 |
| Rest Of Oregon | Unavailable | $678.62 |
How the 26434 rate is calculated
Each of 26434’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 26434
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 6.10Practice expense 13.35Malpractice 1.31
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 26434
26434 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 26434
Finger tendon repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 26434
Finger tendon repair
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
26434 without 51 · national facility
$693.40
Finger tendon repair
26434-51 · Second procedure: 50%
$346.70
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
26434 compared with similar codes
Compare codes
26434 vs 26418 vs 26420 vs 26416 vs 26410: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 26418Finger tendon repair
- Both concern finger tendon repair. Use the code whose full descriptor matches the operative technique and circumstances documented; do not choose based on the short descriptor alone.
- 26420Tendon repair
- This is another finger tendon repair or graft code. The operative details and the full code descriptor determine which applies.
- 26416Tendon graft
- This code describes grafting of a hand or finger tendon. Compare it with this repair-or-graft code using the exact work documented in the operative report.
- 26410Hand tendon repair
- 26410 concerns hand tendon repair, while 26434 concerns a finger tendon. The treated anatomy and full descriptor guide code selection.
26434 billing questions
What documentation supports reporting this code?
The operative report should identify the finger and tendon and describe the repair or graft performed. Include findings that explain why the tendon required operative treatment.
How do I distinguish this from a hand tendon repair code?
This code is for a finger tendon. Choose a hand tendon code when the treated tendon and procedure meet that code’s descriptor instead.
Is modifier 50 appropriate when both hands or sides are treated?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does the 90-day global period affect follow-up care?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant surgeon be reported?
CMS indicates that an assistant at surgery may be paid. Co-surgeons and team surgery are not permitted for this code.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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